Encounter for routine screening for malformation using ultrasonics
Ultrasonic guidance for vascular access requiring ultrasound evaluation of potential access sites, documentation of selected vessel patency, concurrent real time ultrasound visualization of vascular needle entry, with permanent recording and reporting; Additional CPT code: 36400, 36410, 36555, 36556, 36568, 36569
CPT code 76811 is used for billing this ultrasound screening which is used for evaluation of the fetal brain, heart, abdominal organs, face or umbilical cord. This ultrasound is performed if in addition to the indications under CPT code 76801 ; any of the following indications are suspected or need to be evaluated.
The CPT codes used for screening mammography:
2022 ICD-10-PCS Codes B54*: Ultrasonography.
Abnormal ultrasonic finding on antenatal screening of mother O28. 3 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM O28. 3 became effective on October 1, 2021.
ICD-10 code Z36, Encounter for antenatal screening of mother, is used when screening for the testing of disease or disease precursor is performed in patients who are seemingly well for the purpose of early detection and treatment.
Under ICD-10-CM Codes that Support Medical Necessity Group 1: Codes added C56. 3 and C79. 63. This revision is due to the Annual ICD-10 Update and will become effective on 10/1/2021.
The Current Procedural Terminology (CPT) code range for Diagnostic Ultrasound Procedures 76506-76999 is a medical code set maintained by the American Medical Association.
Ultrasound in pregnancy can be billed with CPT 76801 (Standard first trimester ultrasound), CPT 76805 (Standard second or third trimester ultrasound), CPT 76811 (Detailed anatomic ultrasound) and CPT 76817 (Transvaginal ultrasound).
Z36. 87 is applicable to maternity patients aged 12 - 55 years inclusive....Encounter for antenatal screening for uncertain datesZ36. ... The 2022 edition of ICD-10-CM Z36. ... This is the American ICD-10-CM version of Z36.
9: Antenatal screening, unspecified.
Encounter for antenatal screening of mother Screening is the testing for disease or disease precursors in asymptomatic individuals so that early detection and treatment can be provided for those who test positive for the disease.
CPT® codes 76815 and 76816 are appropriate when an OB ultrasound study is performed and the report does not document a complete study as outlined above.
CPT code 76856 represents a non-obstetrical pelvic ultrasound, real time with image documentation; complete. CPT code 76830 represents a non-obstetrical transvaginal ultrasound.
CPT CodeCommon Modifier(s)CPT Description76705-26Ultrasound, abdominal, real time with image documentation; limited (eg, single organ, quadrant, follow-up)